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1689010316
LISA J CARMACK
LOS ANGELES, CA
NPI
1689010316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY18813)
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
-- LISA J CARMACK
3787 S VERMONT AVE
LOS ANGELES, CA 90007-4203
Phone number: 323-373-2400
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Mailing Address
-- LISA J CARMACK
3787 S VERMONT AVE
LOS ANGELES, CA 90007-4203
Phone number: 323-373-2400
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